RICHARD LAWRENCE GOODMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

RICHARD LAWRENCE

Last Name

GOODMAN

Suffix

DDS

Business Name

RICHARD LAWRENCE GOODMAN DDS

Original Issue Date

01/01/1998

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022